NPI 1033134796

Benjamin Lincoln Russell, DO

Practitioner Surgery Physician Portland, ME

Practice location

Address: 195 Fore River Pkwy Suite 420, Portland, ME 04102-2780
Phone: (207) 553-6500
Fax: (207) 553-6520

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 1178 (ME)

Other Surgery providers in Maine →

Registry record

NPI: 1033134796
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2006
Record last updated: 10 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.